| NPI | 1497308258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: LA 321500) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2019-12-02 |